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Organization
GREEN LIFE HOME CARE, LLC
Active
Organization
GREEN LIFE HOME CARE, LLC
Active
Other names
Green Life Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAIFUL ISLAM (ADMINISTRATOR)
(347) 257-2037
Entity
Organization
Contact information
Practice address
1346 OLD BRIDGE RD # 6, WOODBRIDGE, VA 22192-2743
(347) 257-2037
(571) 302-4880
Mailing address
1346 OLD BRIDGE RD # 6, WOODBRIDGE, VA 22192-2743
(347) 257-2037
(571) 302-4880
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
11/09/2024
Last updated
12/10/2024
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